Children’s Medical Records

Children's Medical Records

Please have your child's pediatrician complete the following forms and return them to the center prior to the first day that your child is scheduled to start. Pleae make sure that your child's immunization record is inculded. If we do not receive the forms in advance, your child will not be able to attend All Saints Child Care Center until all forms are completed. ** Universal Child Health Record ** Immunization Record ** Blood Lead Screening Form
  • Please click on the below images to launch the reader. Hold down the Control Key and click on the "P" key to print the document. Repeat this process for the other document and give them to your pediatrician to complete.
  • Please provide us with your name in lieu of a true signature to acknowledge that you have received these forms.